Specialized Mental Health Services for Foster Infants

寄养婴儿专业心理健康服务

• 批准号: 6472969
• 负责人: Mary Dozier
• 金额: $ 72.89万
• 依托单位: UNIVERSITY OF DELAWARE
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-05-01 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6472969
• 关键词: behavior test; behavioral /social science research tag; caregivers; child behavior; child foster care /adoption; child mental health service; child psychology; clinical trials; education evaluation /planning; health care service evaluation; human subject; interpersonal relations; longitudinal human study; neuroendocrine system; parent offspring interaction; patient oriented research; preschool child (1-5); problem solving; psychological tests; sensitivity training; sociometry

DESCRIPTION (provided by applicant): Infants and toddlers who are placed into foster or adoptive care often exhibit a number of behavioral, emotional and physiological problems. In the absence of specialized services, problems in the relationship between caregiver and child may develop, and problems in the child?s functioning often persist and are exacerbated. We have designed an intervention program to help caregivers in each of three critical areas. The proposed program of research evaluates the efficacy of the intervention in a randomized clinical trial design. Children entering long-term foster or adoptive care between the ages of 10 and 20 months will be randomly assigned to an experimental group focusing on relational issues or to a treatment control group. Caregivers in both treatment groups will receive 10 home visits. Caregivers receiving the relational intervention will be trained to interpret children's behaviors appropriately, to provide nurturing care, and to respond sensitively to their children's behavioral and emotional cues, Caregivers in the treatment control group will receive training designed to enhance children's intellectual development. Caregivers receiving the relational intervention are expected to become more nurturing and responsive in their interactions with their children, to show greater satisfaction in their role as foster or adoptive parents, and to show greater commitment to the children in their care, compared with caregivers receiving the educational intervention. Children of caregivers receiving the relational intervention are expected to develop secure attachments to their caregivers more frequently, to show greater confidence in the solving problems as toddlers, and to show fewer behavioral and emotional problems, than children in the treatment control group. Children of caregivers receiving the relational intervention are also expected to show more normal neuroendocrine regulation as compared with children in the control group.

描述(由申请者提供)：被安置在 寄养或收养护理通常表现出许多行为、情感和 生理问题。在缺乏专门服务的情况下， 照顾者和孩子之间的关系可能会发展，以及在 儿童？S的功能经常持续和恶化。我们设计了一个 干预计划，在三个关键领域中的每一个领域帮助照顾者。这个 建议的研究计划评估干预的效果在一个 随机临床试验设计。儿童进入长期寄养或 10到20个月大的领养儿童将被随机分配到 专注于相关问题或治疗对照的试验组 一群人。两个治疗组的照顾者都将接受10次家访。 接受关系干预的照顾者将接受培训以解释 儿童的适当行为，提供养育照顾，并做出反应 对孩子的行为和情感暗示很敏感，照顾者在 治疗对照组将接受旨在增强 儿童智力发展。接受关系护理的照顾者 预计干预将变得更具养育力和响应性 与他们的孩子互动，以显示他们对自己作为 寄养或领养父母，并对儿童表现出更大的承诺 他们的照顾，与接受教育干预的照料者相比。 接受关系干预的照顾者的孩子预计会 更频繁地与他们的照顾者建立安全的依恋，以表现出更好的 在蹒跚学步的时候对解决问题有信心，并表现出较少的行为 和情绪问题方面，治疗对照组儿童明显多于对照组。儿童 接受关系干预的照顾者的比例预计也会显示 与对照组儿童相比，儿童神经内分泌调节更正常 一群人。